Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia

Recurrent rectal prolapse, resistant to medical treatment, is an indication for surgical treatment. Patients with spinal dysraphia frequently have already been treated by sclerotherapy or other surgical techniques, but unsuccessfully. Methods: We present 2 patients, who underwent laparoscopic rectop...

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Autores principales: Montes Tapia, Fernando Félix, Cura Esquivel, Idalia Aracely, Garza Luna, Ulises, Martínez Flores, Guillermo, Muñoz Maldonado, Gerardo Enrique, Abrego Moya, Valdemar
Formato: Artículo
Lenguaje:inglés
Publicado: W.B. Saunders Co. 2008
Materias:
Acceso en línea:http://eprints.uanl.mx/9442/1/2008ProlapsoJPS.pdf
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author Montes Tapia, Fernando Félix
Cura Esquivel, Idalia Aracely
Garza Luna, Ulises
Martínez Flores, Guillermo
Muñoz Maldonado, Gerardo Enrique
Abrego Moya, Valdemar
author_facet Montes Tapia, Fernando Félix
Cura Esquivel, Idalia Aracely
Garza Luna, Ulises
Martínez Flores, Guillermo
Muñoz Maldonado, Gerardo Enrique
Abrego Moya, Valdemar
author_sort Montes Tapia, Fernando Félix
collection Repositorio Institucional
description Recurrent rectal prolapse, resistant to medical treatment, is an indication for surgical treatment. Patients with spinal dysraphia frequently have already been treated by sclerotherapy or other surgical techniques, but unsuccessfully. Methods: We present 2 patients, who underwent laparoscopic rectopexy, with spinal dysraphia and complete rectal prolapse relapse after conservative treatment. In these patients, we performed, as an additional technique, fixation of the rectosigmoid to avoid recurrence by invagination or prolapse of the anterior wall. Results: Follow-up at 14 and 11 months, respectively, did not find any recurrence. Conclusion: We suggest that laparoscopic rectopexy with sigmoid fixation should be considered as an alternative for the treatment for patients with spinal dysraphia and rectal prolapse to avoid recurrence.
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spelling eprints-94422024-03-05T20:46:13Z http://eprints.uanl.mx/9442/ Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia Montes Tapia, Fernando Félix Cura Esquivel, Idalia Aracely Garza Luna, Ulises Martínez Flores, Guillermo Muñoz Maldonado, Gerardo Enrique Abrego Moya, Valdemar RD Cirugía RJ Pediatría Recurrent rectal prolapse, resistant to medical treatment, is an indication for surgical treatment. Patients with spinal dysraphia frequently have already been treated by sclerotherapy or other surgical techniques, but unsuccessfully. Methods: We present 2 patients, who underwent laparoscopic rectopexy, with spinal dysraphia and complete rectal prolapse relapse after conservative treatment. In these patients, we performed, as an additional technique, fixation of the rectosigmoid to avoid recurrence by invagination or prolapse of the anterior wall. Results: Follow-up at 14 and 11 months, respectively, did not find any recurrence. Conclusion: We suggest that laparoscopic rectopexy with sigmoid fixation should be considered as an alternative for the treatment for patients with spinal dysraphia and rectal prolapse to avoid recurrence. W.B. Saunders Co. 2008-08 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/9442/1/2008ProlapsoJPS.pdf http://eprints.uanl.mx/9442/1.haspreviewThumbnailVersion/2008ProlapsoJPS.pdf Montes Tapia, Fernando Félix y Cura Esquivel, Idalia Aracely y Garza Luna, Ulises y Martínez Flores, Guillermo y Muñoz Maldonado, Gerardo Enrique y Abrego Moya, Valdemar (2008) Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia. Journal of pediatric surgery, 43 (8). pp. 1551-1553. ISSN 0022-3468
spellingShingle RD Cirugía
RJ Pediatría
Montes Tapia, Fernando Félix
Cura Esquivel, Idalia Aracely
Garza Luna, Ulises
Martínez Flores, Guillermo
Muñoz Maldonado, Gerardo Enrique
Abrego Moya, Valdemar
Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
title_full Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
title_fullStr Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
title_full_unstemmed Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
title_short Sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
title_sort sigmoid fixation associated with rectopexy using a laparoscopic approach could prevent relapse of rectal prolapse in pediatric patients with spinal dysraphia
topic RD Cirugía
RJ Pediatría
url http://eprints.uanl.mx/9442/1/2008ProlapsoJPS.pdf
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